Behavioral Health Care Manager Job at Sunflower Health Plan, Wichita, KS

cjBsdnVxWHBDUnViZFNqa25EaEpKTE5s
  • Sunflower Health Plan
  • Wichita, KS

Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.

  • Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs
  • May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources
  • Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders
  • Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members
  • Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs
  • Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services
  • Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
  • Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs
  • Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
  • Performs other duties as assigned
  • Complies with all policies and standards

Must reside in Kansas!

Centene is hiring a Care Manager's to cover the Northwest, Southwest, North Central, South Central, Northeast, or Southeast regions of Kansas. This is a hybrid position that involves both remote work and community-based home visits. The ideal candidate will have knowledge of the case management process in a managed care or clinical setting.

Education/Experience: Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.
License/Certification:

  • Licensed Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LMSW, LMFT, LMHC, LPC and RN with BH experience required
  • For Illinois Youth Care Contract: Master’s degree in social sciences, social work, or related field required
Pay Range: $54,000.00 - $97,100.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Job Tags

Holiday work, Contract work, Remote job, Work from home, Flexible hours,

Similar Jobs

NES Fircroft

Data Engineering Specialist Job at NES Fircroft

 ...Job Posting Title: Data Engineering Specialist Description: PRIMARY PURPOSE: Seeking a highly skilled and motivated Data Engineering Specialist to join the Operations Excellence team. The successful candidate will utilize their expertise in data mining, analysis... 

Bashas' Inc.

Sushi Chef Job at Bashas' Inc.

**Sushi Chef** AJ's Fine Foods 31311 N. Scottsdale Rd. Scottsdale , AZ 85266 Store 090 The Sushi Chef will effectively assist in the operation of prepared sushi and work with the Sushi Manager and Meat Manager to achieve sales and customer service goals established... 

Global Nomadic

Volunteer: Medical, Nursing + Dentistry Electives (online and in-person) in Peru Job at Global Nomadic

 ...health issues within families. In Order To Mitigate These Impacts, We Have Established a Cooperative Medical +amp; Dentistry Volunteering Programme Alongside The Lobitos Medical Post And The Talara Hospital In Order To Combat These Issues. The Benefits Of Taking Part... 

BGSF

AWS Solutions Architect (PUBLIC TRUST REQUIRED) Job at BGSF

Job Description:The AWS Solutions Architect designs, implements and maintains advanced cloud solutions leveraging AWS infrastructure. The role requires a comprehensive understanding of the technical and business requirements of the customer, and the ability to map them... 

GFL Environmental

Construction Sales Representative Job at GFL Environmental

The Construction Representative will promote, sell, increase and preserve GFL Environmental, Inc. solid waste services to businesses and...  ...strategies to outweigh competition. This individual will prepare sales contracts with knowledge of pricing, costs and equipment with...